Nassau New York Sample Letter for Medical Records Release in Social Security Disability Action

• Category: Letters - Legal - Social Security
• State: Multi-State
• County: Nassau
• Control #: US-0959LTR
• Format: Word; Rich Text

Description

This form is a sample letter in Word format covering the subject matter of the title of the form. [Your Name] [Your Address] [City, State, ZIP Code] [Date] [Recipient's Name] [Recipient's Address] [City, State, ZIP Code] Subject: Request for Medical Records Release in Social Security Disability Action Dear [Recipient's Name], I hope this letter finds you in good health and high spirits. I am writing to request the release of my medical records in relation to my ongoing Social Security Disability Action. I understand that obtaining these documents is crucial for the progress of my disability claim, and I would be grateful if you could assist me in this matter. To accurately assess my condition, it is imperative that we provide the Social Security Administration (SSA) with comprehensive information regarding my medical history, treatments received, medications prescribed, and any relevant test results. Having access to these records will help facilitate a fair and accurate evaluation of my disability case. Therefore, I hereby authorize the release of my medical records to the SSA for the purpose of evaluating my Social Security Disability claim. This includes records from all healthcare providers administering my past and present medical treatments. Please find enclosed a completed Medical Records Release Authorization form, which includes the necessary details for each provider. Additionally, I have included a self-addressed, pre-stamped envelope for your convenience in returning the requested records. I kindly request that you promptly process this request and send the medical records directly to the address mentioned above, considering any applicable fees for copying and mailing. It will significantly aid in expediting my disability claim process, ensuring that all required medical evidence is available for review by the SSA. If you have any questions or require further information, please do not hesitate to contact me using the details provided below. I eagerly anticipate your favorable response and cooperation in this matter. Thank you for your attention to this important request. Your support in expediting the release of my medical records will be greatly appreciated. Sincerely, [Your Name] [Your Contact Number] [Your Email Address]

[Your Name] [Your Address] [City, State, ZIP Code] [Date] [Recipient's Name] [Recipient's Address] [City, State, ZIP Code] Subject: Request for Medical Records Release in Social Security Disability Action Dear [Recipient's Name], I hope this letter finds you in good health and high spirits. I am writing to request the release of my medical records in relation to my ongoing Social Security Disability Action. I understand that obtaining these documents is crucial for the progress of my disability claim, and I would be grateful if you could assist me in this matter. To accurately assess my condition, it is imperative that we provide the Social Security Administration (SSA) with comprehensive information regarding my medical history, treatments received, medications prescribed, and any relevant test results. Having access to these records will help facilitate a fair and accurate evaluation of my disability case. Therefore, I hereby authorize the release of my medical records to the SSA for the purpose of evaluating my Social Security Disability claim. This includes records from all healthcare providers administering my past and present medical treatments. Please find enclosed a completed Medical Records Release Authorization form, which includes the necessary details for each provider. Additionally, I have included a self-addressed, pre-stamped envelope for your convenience in returning the requested records. I kindly request that you promptly process this request and send the medical records directly to the address mentioned above, considering any applicable fees for copying and mailing. It will significantly aid in expediting my disability claim process, ensuring that all required medical evidence is available for review by the SSA. If you have any questions or require further information, please do not hesitate to contact me using the details provided below. I eagerly anticipate your favorable response and cooperation in this matter. Thank you for your attention to this important request. Your support in expediting the release of my medical records will be greatly appreciated. Sincerely, [Your Name] [Your Contact Number] [Your Email Address]